Nursing Elites

1. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

2. Which statement most accurately compares and contrasts the structures of DNA and RNA?

• A. Both DNA and RNA have 4 nucleotide bases. Three of the bases are the same, but the fourth base is thymine in DNA and uracil in RNA.
• B. Both DNA and RNA have the same 4 nucleotide bases. However, the nucleotides bond differently in DNA compared to RNA.
• C. Both DNA and RNA have different numbers of nucleotide bases. DNA is a double helix while RNA is a single strand.
• D. Both DNA and RNA have a double helix structure. However, DNA contains 6 nucleotide bases and RNA contains 4 nucleotide bases.

Correct answer: A

Rationale: The correct answer is A because DNA and RNA both consist of 4 nucleotide bases, namely adenine, cytosine, and guanine, which are common in both. The key difference lies in the fourth base, which is thymine in DNA and uracil in RNA. This distinction is fundamental in understanding the structural variances between DNA and RNA. Choice B is incorrect as it incorrectly states that the nucleotides bond differently in DNA compared to RNA without specifying the crucial base differences. Choice C is inaccurate as it misrepresents the numbers of nucleotide bases in DNA and RNA, and incorrectly describes DNA as a double helix and RNA as a single strand, which is not related to the difference in bases. Choice D is incorrect as it inaccurately portrays DNA with 6 nucleotide bases and RNA with 4, which is not true; both DNA and RNA have 4 nucleotide bases, but with differences in one of the bases.

3. Which of the following molecules is a monosaccharide?

• A. Starch
• B. Glucose
• C. Cellulose
• D. Sucrose

Correct answer: B

Rationale: Starch is a polysaccharide, not a monosaccharide, making choice A incorrect. Glucose, choice B, is the correct answer as it is a monosaccharide, the simplest form of sugar. Cellulose, choice C, is a polysaccharide like starch, not a monosaccharide. Sucrose, choice D, is a disaccharide composed of glucose and fructose, not a monosaccharide. Glucose, being a monosaccharide, is a single sugar unit that serves as a primary energy source for living organisms.

4. Which term refers to a position toward the head? Example: The hand is part of the superior extremity.

• A. Superior
• B. Inferior
• C. Medial
• D. Lateral

Correct answer: A

Rationale: The correct answer is 'Superior.' 'Superior' refers to a position toward the head, while 'inferior' is the term for a position toward the feet. In the given example, the hand belongs to the superior extremity, which includes structures closer to the head. 'Inferior' is incorrect as it refers to a position away from the head or toward the feet. 'Medial' describes a position closer to the midline of the body, while 'lateral' refers to a position farther away from the midline.

5. Which of the following is NOT a recommended method for preventing healthcare-associated infections (HAIs)?

• A. Handwashing with soap and water
• B. Proper use of personal protective equipment (PPE)
• C. Disinfecting and reusing sterile medical devices
• D. Using single-use sterile medical devices

Correct answer: C

Rationale: Disinfecting and reusing sterile medical devices is not a recommended method for preventing healthcare-associated infections (HAIs). Reusing sterile medical devices can increase the risk of infections due to inadequate sterilization or potential damage to the devices during the reprocessing process. Proper sterilization and disposal of single-use medical devices are essential in preventing the transmission of infections in healthcare settings. A) Handwashing with soap and water is a crucial method for preventing HAIs as it helps to remove and reduce the number of pathogens on the hands of healthcare workers, preventing the spread of infections. B) Proper use of personal protective equipment (PPE) such as gloves, gowns, masks, and eye protection is important in preventing the transmission of infections between patients and healthcare workers. C) Disinfecting and reusing sterile medical devices is not a recommended practice as it can lead to the transmission of infections if the devices are not adequately sterilized. Using single-use sterile medical devices helps to ensure that each patient receives a sterile device, reducing the risk of infections.

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